Claims Business Analyst

Posted 7 Days Ago
Hiring Remotely in US
Remote
Senior level
Information Technology • Consulting
Women-Owned Small Business that brings simplicity to complex transformations through consulting and delivery solutions.
The Role
Lead business analysis for enterprise healthcare claims processing: gather and validate requirements, document processes and functional specs, collaborate with stakeholders and developers, support testing and integration, and drive continuous process improvement for claims modernization.
Summary Generated by Built In

About us

Itero Group is a Women-Owned Small Business focused on simplifying complex transformations. We empower clients in the private and government sectors to become more optimized, digitally enabled, and data-driven organizations through our comprehensive business consulting and innovative delivery solutions.
Itero Group's dedicated team members are experienced thought leaders, tenacious workers, and creative thinkers. We hire people who are passionate about being catalysts for change - in our company, for our clients, throughout our career- and we empower people to express their ideas, create better practices, innovate better products, and become better professionals.
We have been named a Great Place to Work for six years, and offer a competitive salary and benefits package. 

 

 

Itero Group is seeking an experienced Business Analyst to support enterprise healthcare claims processing initiatives. This individual will partner with business stakeholders, technical teams, and project leadership to gather requirements, analyze business processes, document system functionality, and support application enhancements.

The ideal candidate combines healthcare claims experience with strong analytical and communication skills and enjoys working in a collaborative, fully remote environment supporting large-scale enterprise systems and modernization initiatives.

Key ResponsibilitiesBusiness Analysis
  • Gather, analyze, and document business requirements for healthcare claims processing enhancements.
  • Work closely with developers to translate business needs into technical solutions.
  • Analyze existing system functionality and assess the impact of requested changes.
  • Document business processes, workflows, use cases, and functional specifications.
Stakeholder Collaboration
  • Facilitate discussions with technical teams, business stakeholders, and project leadership.
  • Build strong relationships across cross-functional teams.
  • Clearly communicate project status, risks, issues, and recommendations.
  • Support planning activities for system enhancements and future modernization initiatives.
Testing & Solution Delivery
  • Support testing efforts, including requirements validation and defect analysis.
  • Assist with system integration planning and implementation activities.
  • Validate delivered functionality meets documented business requirements.
  • Participate in solution reviews and continuous process improvement initiatives.
Documentation & Process Improvement
  • Develop and maintain business analysis documentation throughout the project lifecycle.
  • Identify opportunities to improve business processes and operational efficiency.
  • Ensure documentation remains current and aligned with evolving business needs.
Required Qualifications
  • 5+ years of Business Analyst experience.
  • Experience supporting healthcare or insurance claims processing systems.
  • Strong understanding of claims processing and payment workflows.
  • Experience gathering, documenting, and validating functional requirements.
  • Strong analytical, organizational, and problem-solving skills.
  • Excellent written and verbal communication skills.
  • Comfortable facilitating discussions in a fully remote environment.
  • Self-starter with the ability to work independently and collaboratively across technical and business teams.
Preferred Qualifications
  • Experience supporting enterprise healthcare claims systems.
  • Knowledge of Medicare, commercial payer, or healthcare reimbursement processes.
  • Experience supporting claims modernization initiatives.
  • Familiarity with healthcare payer platforms such as TriZetto Facets or similar systems.
Why Join Itero?
  • Support large-scale healthcare technology initiatives that have a meaningful impact.
  • Work alongside experienced business and technology professionals in a collaborative environment.
  • Gain exposure to enterprise modernization projects and evolving healthcare technologies.
  • Enjoy the flexibility of a fully remote work environment while contributing to long-term, strategic programs.

 

 

If you are looking for a role where you will lead with integrity, create and innovate, inspire excellence, be a respected member of the team, drive results, and have fun, we look forward to connecting with you!

Benefits at Itero Group
At Itero Group, we’re proud to offer a comprehensive benefits package designed to support your health, financial well-being, and work-life balance:

  • Health & Wellness: Medical (BC-BS), dental, and vision plans to suit your needs. 
  • Paid Time Off: Generous PTO, paid holidays, and increasing PTO based on years of service.
  • Retirement Savings: 401(k) plan with company match and auto-enrollment.
  • Company-Paid Coverage: Short-term and long-term disability, life insurance, and AD&D insurance.
  • Additional Options: Voluntary benefits including pet insurance and student loan assistance up to $1,000 annually.
  • Perks: FSAs, HSAs, wellness programs, and more to enhance your work-life balance.

Join us and enjoy a benefits package designed with you in mind!

Itero Group is an equal opportunity employer and does not discriminate against any employee or applicant because of race, age, sex, color, physical or mental disability, religion, sexual orientation, marital status, national origin, veteran status or political affiliation.

Skills Required

  • 5+ years of Business Analyst experience.
  • Experience supporting healthcare or insurance claims processing systems.
  • Strong understanding of claims processing and payment workflows.
  • Experience gathering, documenting, and validating functional requirements.
  • Strong analytical, organizational, and problem-solving skills.
  • Excellent written and verbal communication skills.
  • Comfortable facilitating discussions in a fully remote environment.
  • Self-starter with ability to work independently and collaboratively across technical and business teams.
  • Experience supporting enterprise healthcare claims systems.
  • Knowledge of Medicare, commercial payer, or healthcare reimbursement processes.
  • Experience supporting claims modernization initiatives.
  • Familiarity with healthcare payer platforms such as TriZetto Facets or similar systems.
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The Company
HQ: New Cumberland, PA
57 Employees
Year Founded: 2017

What We Do

Itero Group is a Women-Owned Small Business that brings simplicity to complex transformations. Our comprehensive delivery solutions – Artificial Intelligence, Agile, Program and Project Management, Process Improvement, Testing, and Innovation as a Service – and innovative business consulting services simplify how work is defined, done, delivered, and measured for private and government sector clients. As transformative delivery experts, we challenge the status quo and empower our clients to become digitally enabled and data-driven organizations. Our experienced thought leaders, dedicated team players, tenacious workers, and creative minds are the catalysts for change that drive our success. At Itero Group, we foster a vibrant corporate culture built on six key pillars: leading with integrity, creating and innovating, inspiring excellence, respecting the team, driving results, and having fun. We prioritize diversity and inclusion, regularly engage with our growing hybrid team, and offer enhanced benefits to ensure an excellent, exciting, and empowering experience for every employee. Founded in 2017, Itero Group has become a leader in our field and a trusted partner to our clients. Connect with Itero Group today to learn more about our solutions and dynamic career opportunities to simplify complex transformations and drive positive change in the world around us.

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